Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Nail diseases and disorders.
 - Spoon Nails (Koilonychia)
 - Pitting of Nails
 - Beau's Lines
 -
Nail diseases and ... Fingernail #Disorders #Differential ... #Leukonychia #Table ... #Clinical #PhysicalExam
Gastroesophageal Reflux Disease (GERD) Summary
 - Diagnosis
 - Clinical Workflow
 - PPIs
 - Treatment
 - Acid
Gastroesophageal Reflux Disease ... - Diagnosis - Clinical ... Gastroesophageal #Reflux #Disease ... gastroenterology #diagnosis #management
Nail Findings & Associated Conditions
Change in color, texture, or shape can be harmless, but may suggest
underlying systemic disease ... fingernail #pathology #differential ... dermatology #nails #table
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
prodrome Meniere's Disease ... Peripheral #Vertigo #differential ... diagnosis #comparison #table
Intern Pocket Cards - Pharmacologic Pain Management Options
Anti-inflammatory:
 β€’ Acetaminophen (24 hours: < 3-4g in healthy
Pharmacologic Pain Management ... , <2g in liver disease ... Equianalgesia Conversion Table ... Opioid #Conversion #Table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Internet Book of Critical ... Vasopressors #Properties #Table ... Pharmacology #Effect #Management
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
Liver Disease in ... weeks β€’ Typical clinical ... post-partum β€’ Typical clinical ... BrighamChiefs #Liver #Disease ... hepatitis #comparison #differential
Antinuclear antibodies and Systemic lupus
Anti-dsDNA	60-80%	Association with disease activity (when with Farr assay) and lupus nephritis. Can
Association with disease ... -15% If SLE is clinically ... with auto-immune diseases ... #rheumatology #table
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... to IBD, celiac disease ... Deficiency #diagnosis #management
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
antimicrobials, clinical ... exists Infectious Diseases ... Endocarditis #diagnosis #differential